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ReqDetail |
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Job Title |
Medical Coder
| Contact Phone # |
954-985-6650 | Date Posted |
03/09/2010 | Number Of Positions Available |
1 | Location |
MacClenny, Fl | Length |
1 Year | Job Description |
Job Description (Client provided):
This is independent work applying the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.
o 60%-Supervises and coordinates all coding functions for inpatient and outpatient services. Abstracts pertinent information form patient records and assures that all diagnosis and procedures are coded according to the ICD-9-CM, CPT coding procedures and DSM IV books to the highest level of specificity. Reviews the information coded and forwards to Medicare billing for processing. Brings identified concerns to supervisor for resolution.
o 5%-Updates compliance requirements for CMS/AHCA/State Statutes and facilities policy and procedure development for compliance programs and medical necessity documentation.
o 5%-Updates required Labs, Radiology and other forms to facilitate procedure specific documentation.
o 5%-Continuously evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that impacts the code selection and resulting payment to ensure resource efficiency. Brings identified concerns to the attention of the Medical Executive Director for resolution.
o 5%-Provides in-service to providers, nursing and support staff on major revisions to coding, (ICD-10) and other coding changes.
o 5%-Supports report generation for parent measures and other Medicaid/Medicare billing requirements of the medical services.
o 5%-In conjunction with the Accounting Department, monitors outpatient unbilled accounts for outstanding and/or uncoded outpatient encounters to support management excellence and reduce account receivable days.
o 5%-Maintains coder certification. Keeps abreast of coding guidelines and reimbursement reporting requirements. Abides by the Standards of Ethical Coding and adheres to official coding guidelines.
o 5%-Performs other related duties as required.
Comments:
o The percentages next to each task to be performed are reflective of the percentage of time the Medical Coder will spend performing that task
o Job Description is lengthy with fluff.
o Essentially they are looking of a Medical coder with 3 years of experience.
o Though Job description talks about Supervision but they are seeking Hands on Medical coder.
The coding standards are listed below:
o ICD-9-CM (To learn more about this coding standard visit http://en.wikipedia.org/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems.
o ICD-10 is the next version of coding standard that will be deployed by October 2012), CPT Coding Procedures (learn more at http://patients.about.com/od/costsconsumerism/a/cptcodes.htm ),
o DSM IV books (Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition). This is a hospital for patients with Mental illnesses.
o CMS stands for : Center for Medicaid and Medicare Services
o AHCA stands for : Agency for Health Care Administration
o Essentially due to the recent change in the law, this person will be responsible for Changing the Medical Code for classifying Mental illnesses from ICD-9 to ICD-10.
o Hence strong Medical Coding experience is all that is needed. | |
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